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04-5731 (AR) Revision 1
V 7'. + Bin . City of LA *'Quinta ._ . Building a Safety Division Permiti I t P-O- BOX :1504, 78-495 Calle Tampico La Quintal', CA 9.2253 - (760) 777-7012 Building Permit Application and Tracking Sheet Jf .Project Address-- (SO G-04-• (pt4 C CCz Owner's Name: L,414� A.Y. Numbcr. O Address: o . Legal Description: XCity, ST. Zip: i. L,� QQ u Y� Contractor:. FTelcphone: ( ©' i`�% %( :Address: City, ST, Zip A� .Project Description: .R�1�.11.1�• ��i X 1 �'�J� l� ��1 `� i r _ _ --Y -- _______ X Telephone: , (q3 t•; f fyi^�j >:,. t� State tic. # #. N ` ' )/V _ h'L4MI�✓ _4 ' City tic.- � . RC�/i S _ '7•' Arch. Engr., Designer. Address: City, ST, Zip: ; Telephone:. gip! r,r.r i TypeOccu anConstnictiocyState tic. : Project. type (circle one): New ' d'n Alter Repair Demo X Name of Contact Person: � Rl t5 Sq. Ft. #. Stories: #Units:' • iC Telephone.# of Contact Person: e-34-ro, Off( imated Value of Project:. APPLICANT: DO.NOT WRITE BELOW THIS LINE " # Submittal Req'd Reeld TRACKING PERNfT FEES Plan Sets i Plan Check submitted N/11 Item. Structural Calcs.. i Amount Reviewed, ready for-corrections Plan. Check Deposit . Truss Calcs: Called Contact Person Plan Check Balance . Energy Cala. n Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan" 2" Review, ready for corrections/issue Electrical Subcoatactor List Called Contact Person Plumbing, ' Grant Deed Pians picked up . H.O.A. Approval Plans resubmitted . .Grading ' R� HOUSE:- ''' Review, ready for eorrectionsrssue . Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Yub: Wks. Appr Date of permit issue School Fees Total Permit Fees s